tbuckley/cabot-search huggingface dataset:
Screening for hypertension in the emergency department
Authors: R. I. Glass
Journal: JAMA (1978)

Review of emergency department charts at three university-affiliated hospitals showed that less than half of all patients who had elevated blood pressure (BP) recorded were recognized by physicians to be hypertensive. At the primary teaching hospital, less than one third of patients with the greatest BP elevation (&gt;20 mm Hg above normal) were sent for some type of hypertension follow-up care. (<i>JAMA</i>240:1973-1974, 1978)
Anesthesiology
Authors: E. S. Siker
Journal: JAMA (1980)

Progress in anesthesiology, as in any medical discipline, is better measured by events than by time. While the end of a decade is an attractive time to cite the accomplishments of the previous ten years, progress is a continuum, and great events are almost always the product of earlier, usually prodigious, work. From the accomplishments in anesthesiology over the past decade I have selected four areas for comment, three of which are closely related. <h3>Malignant Hyperpyrexia</h3> The recognition of a syndrome, explanation of the mechanisms involved, and the development of its cure in the course of a single generation encompass a rare event in medicine. An example of one such entity in another specialty is erythroblastosis fetalis. In anesthesiology, malignant hyperpyrexia was not recognized as a syndrome until the early 1960s. This life-threatening complication, triggered by both potent inhalational anesthetic agents and muscle relaxants or their combination was further defined
PREVENTABLE WASTE OF LIFE
Journal: JAMA (2010)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
DIVERSE COMPLICATIONS OF POLYCYTHEMIA VERA
Journal: JAMA (1961)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Renal and perirenal gas in a diabetic man
Authors: J. F. Murphy
Journal: JAMA (1977)

<h3>History</h3> A 64-year-old diabetic man experienced back pain, fever, chills, and dyspnea for one week. On examination, his rectal temperature was 38 C; pulse rate, 120 beats per minute; and respiratory rate, 30/min. He had distended neck veins, a ventricular gallop, dullness to percussion at the base of each lung, peripheral edema, and tenderness in his right flank. Total leukocyte count was 19,900/cu mm; blood glucose concentration, 319 mg/100 ml; and BUN level, 88 mg/100 ml. Urine gave a 1 + glucose reaction and contained 70 to 100 WBCs and numerous bacilli per high power field. Cultures of blood and urine grew<i>Escherichia coli</i>. Roentgenographic studies include a chest film (Fig 1) and anteroposterior and lateral abdominal films (Fig 2 and 3). <h3>Diagnosis</h3> Emphysematous pyelonephritis with perinephric abscess and emphysematous cystitis. <h3>Comment</h3> The chest film depicts pulmonary vascular congestion, bilateral pleural effusions, infiltrates in both lower lobes, and gas partially outlining
Outcome of patients less than 55 years of age with high-risk acute leukemia who did not have an HLA-identical related donor: A long-term study of 97 consecutive patients
Authors: I. Yakoub-Agha, J. Cornillon, S. Depil, F. Bauters, J. P. Jouet, P. Fenaux
Journal: Journal of Clinical Oncology (2004)

6636 Background: In this analysis, our main objectives were (1) to study the probability and the time needed to find a suitable unrelated donor or cord blood (2) to evaluate the impact of the time from the unrelated donor search (UDS) initiation to positive result on patient outcome (3) to compare the survival of pts who underwent allo-SCT with the outcome of those who received other treatments. Patients: between Jan 93 and Dec 00, an UDS was initiated for 97 consecutive pts with high-risk acute leukemia (HR-AL) (46 ALL and 51 AML). AL was considered of poor prognosis because of relapsed or refractory disease (n=70), unfavorable cytogenetic abnormalities (n=22), secondary AML (n=2) miscellaneous (n=3). The median age was 25 yrs. Sex ratio was 1,6. All pts had received previously various CT and 9 had received in addition an auto-SCT. Results: The median time to identify a suitable living donor or cord blood was 60 days. After the UDS initiation, 33 pts received unrelated allo-SCT (including 9 CB), 12 an auto-SCT, 36 CT and 13 palliative treatment. At a median of 54 months after initiation of the UDS, 18 pts were alive including 15 in CR. 79 pts died of disease progression, TRM and toxicity of intensive CT. The estimated 4-year overall survival rates were 32% for allo-SCT recipients, 37% for auto-SCT and 15% and 0% for pts receiving intensive CT and palliative treatment, respectively. Thus, pts who received, after UDS initiation, either allo- or auto-SCT had better survival than those who received other treatments including high-dose CT and palliative treatment (p<.0001). Pts who received allo-SCT died less often of relapse than pts who received other treatments (p<.0001). Conclusion: This study shows that unrelated allo-SCT gives a substantial long-term survival in pts with HR-AL. Pts who achieve CR might be good candidates for auto-SCT while waiting a donor becomes available. In pts who fail to enter into CR, iterative high-dose CT seems to have limited effects as well as palliative treatment. Finally, in absence of "gold standard" salvage therapy, refractory pts with HR-AL should be considered for clinical trials. No significant financial relationships to disclose.
Withdrawn
Authors: Katherine Cahill, Howard Katz, Jing Cui, Juying Lai, Shamsah Kazani, Allison Crosby-Thompson, Denise Garofalo, Mario Castro, Nizar Jarjour, Emily Dimango, Serpil Erzurum, Jennifer Trevor, Kartik Shenoy, Vernon Chinchilli, Michael Wechsler, Tanya Laidlaw, Elliot Israel, Joshua Boyce
Journal: Journal of Allergy and Clinical Immunology (2017)
A comparison of percutaneous and endoscopic-guided celiac plexus block/neurolysis in pancreatic cancer patients.
Authors: Swetha Kambhampati, Elizabeth A. Sugar, Joseph Herman, Michael A. Erdek, Eun Ji Shin, Dan Laheru
Journal: Journal of Clinical Oncology (2018)

413 Background: Pancreatic Cancer is associated with severe pain and often intractable due to its multifactorial nature. Celiac plexus neurolysis (CPN) has been shown to be effective in controlling pain and conventionally was performed percutaneously (PC) with fluoroscopic or CT guidance. However EUS guidance is being increasingly used and has shown to provide effective analgesia. The aim of this retrospective study is to compare PC-guided and EUS-guided CPN for pain control. Methods: Our retrospective cohort study included pancreatic cancer patients who underwent CPN for pain control from 2008 to 2015 at Johns Hopkins. The primary outcome was a good pain response defined as a drop in NRS pain scores to less than 1 or drop of at least 3 post-procedurally or at 1 month. Secondary outcomes were changes in opiate usage (morphine equivalents), QOL (FACT-Hep) scores and opiate-related side effects. Results: 151 patients underwent PC-CPN and 49 patients underwent EUS-CPN. Patients had their procedure on average 5 months after diagnosis. At baseline, EUS patients had significant higher median baseline pain scores, 9 (4-10) compared to 6 (5-7). A good pain response was seen in 86% of PC patients compared to 73% of EUS patients post-procedurally (p = 0.01). However, at 1 month 43% of EUS patients had a good pain response compared to 28% of PC patients, which trended towards statistical significance (p = 0.08). Following the procedure at 1 month, opiate dosage increased in both groups and no reduction in the proportion of patients with opiate related side effects was seen. EUS patients had significantly higher QOL scores at 1 month, 86 (79-92) vs 72 (67-82) (p &lt; 0.001). Median time from procedure to death was significantly higher in EUS patients than PC patients (HR: 0.63, 95% CI: 0.44, 0.89, p = 0.008). No differences in adverse events between the two groups were seen. Conclusions: Both EUS and PC guided CPN were effective at reducing post-procedural pain in pancreatic cancer patients but their effectiveness waned by 1 month. Percutaneous patients had significantly lower pain scores immediately following the procedure. However, EUS patients seemed to have more durable pain relief with lower pain scores at 1 month and improved QOL.
On Retirement
Authors: Robert H. Moser
Journal: Annals of Internal Medicine (1997)

On Being a Doctor15 July 1997On RetirementRobert H. Moser, MDRobert H. Moser, MDChama, NM 87520Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-127-2-199707150-00013 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Retirement is defined as “to withdraw from business or public life so as to live at leisure on one's income, savings or pension.” This strikes me as terribly parched and resonating with doom, a dreary prescription for early demise. Yet there may be some truth in it. I am a veteran observer of unsuccessful retirements. I remember a tough, vigorous, 62-year-old four-star general who had commanded a corps in combat in Korea and an army in peacetime, each with distinction. I had the pleasure of conducting his physical examination for retirement. He had minimal stiffness and discomfort from mild osteoarthritis ... Author, Article, and Disclosure InformationAuthors: Robert H. Moser, MDAffiliations: Chama, NM 87520 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAttitudes toward Retirement of Ophthalmology Department ChairsPreparándonos para la jubilación. Una responsabilidad individual y de los colegios profesionalesIssues of Concern for the Aging Anesthesiologist 15 July 1997Volume 127, Issue 2Page: 159-161KeywordsHand strengthHeartHypertensionIntelligenceOsteoarthritisReasoningRiversStiffnessVisionWine ePublished: 15 August 2000 Issue Published: 15 July 1997 Copyright & PermissionsCopyright © 1997 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
Digestive surgery
Authors: N Aucia, M Bourlion, T Ponchon, J Montet, P Dancer, N Claudel, D Cathignol, T Sandstad, V Osnes, M Skar
Journal: Gut (1994)

3rd UEGW Oslo 1994 Alll ceived also a questionnaire asking for actual diseases and therapies.A blood sample was drawn for dosing serum cholesterol, HDL-cholesterol, triglyc- erides, glucose by standard methods (CV less than 5%).Diabetes was a re- ferred diagnosis of diabetes or taking drugs for diabetes or glycemia > 140 mg/100 ml.Ninety two males (6.9%) and 134 females (12.9%) had gallstones or were operated on for gallstones; 1 12 males (7.8%) and 65 females (6.2%) had diabetes.In 1992-93, 1962 of the subjects without gallstones (87.7% response) agreed to be reexamined, again by ultrasound.One hundred and four subjects, 55 males and 49 females, had developed gallstones, an inci- dence rate of 7.9 per 1000 person-years (7.1 % in males and 9.1 % in females).Diabetes at the prevalence study was associated with incident gallstones: odds ratio (OR) 3.1 (95% Cl 1 .8-5.5).The association diabetes-gallstones per- sisted also after controlling for age, sex, BMI, cholesterol, HDL-cholesterol, and triglycerides by logistic regression: OR = 2 (95% Cl 1.1-3.7).Age, BMI, and HDL-cholesterol (inverse relationship) were also independent risk factors of gallstones.The findings of this study show that diabetes is associated with incident gallstones.11326
BLOOD PRESSURE
Authors: Arthur Hunter
Journal: JAMA (1941)

<h3>To the Editor:—</h3> There has been brought to my attention the review in your issue of April 26 of the "Blood Pressure Study (1939)," published by the Joint Committee of the Association of Life Insurance Medical Directors and the Actuarial Society of America. One of the most important investigations ever made of this subject has been dismissed in a review of thirtyfive lines, one half of which is devoted to a minor point. For the first time an analysis has been published of a large experience in which both systolic and diastolic readings have been taken into account. The results show that neither the diastolic nor the systolic is the more important factor. This may be learned from the study, together with other indications such as that a low systolic with a low diastolic blood pressure shows a favorable mortality. In the following table the percentagesrefer to departures
Medical student abuse. An unnecessary and preventable cause of stress
Authors: D. A. Rosenberg
Journal: JAMA (1984)

IN A Jan 15, 1982, COMMENTARY in<i>The Journal of the American Medical Association</i>, Silver<sup>1</sup>remarked on the unfortunate transformation that took place in some medical students. These students, while eager and enthusiastic at the time of admission to medical school, became cynical, frightened, depressed, or frustrated men and women after they had been in medical school for a while. He speculated that the changes that occurred could, to a substantial degree, be the result of medical student abuse. He wondered how we might deal with medical student abuse. How should this problem be brought to the attention of the faculty? Would the faculty acknowledge or deny the possibility of abuse? Would they minimize the changes in the students by attributing them to a variety of other causes? Would some faculty members declare that it was inevitable for medical students to feel as they did? Was the abuse, when it
Cholera
Authors: Leighton E. Cluff
Journal: JAMA (1974)

<i>Cholera</i>, edited by Barua and Burrows, provides one of the most comprehensive and definitive reviews of the disease since Snow's classic work on cholera in the 19th century and Pollitzer's monograph in 1959. Although this disease has been a scourge of people throughout the world for centuries, understanding of its pathophysiology and management is very recent. Its occurrence has affected the course of history and has been influenced by improved standards of living. The dissection of its pathogenesis has contributed substantially to molecular biology. Cholera enterotoxin stimulation of cell-bound adenyl cyclase, leading to increased levels of cyclic adenosine monophosphate in cells, provides a tool for new studies of biochemical processes. As with diphtheria, cholera has emerged as a disease explainable not by miasma and mystery but by molecular processes. Cholera is important not only as a remarkable endemic, epidemic, and pandemic disease, but as a model of scientific understanding, with
NEW CASES OF INDIGENOUS FILARIAL DISEASE.
Journal: JAMA (1892)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Erroneous Statement
Journal: JAMA (1982)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Correction
Journal: Circulation Research (2004)

charts in Figure 1C and 1D were inadvertently transposed in the final version of the manuscript.Also, the collagenase cleavage site in the ␣1(I) chains of type I collagen was incorrectly referred to throughout the manuscript as Gly975-Leu976.The correct position of the cleavage site is Gly775-Ile776.The authors apologize for these errors.
Cannabis and Cannabinoids
Journal: JAMA (2016)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
International Comments
Journal: JAMA (1969)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Journals JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2024 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal